Government figures on the number of people directly affected by the floods remain unchanged since the previous situation report, at 15.4 million (National and Provincial Disaster Management Authorities, 18 August). Assessments to establish the degree to which affected populations are in need of immediate humanitarian assistance continue.

The official death toll has risen to 1,475, with 2,052 people reported as injured. Almost 1 million houses are now reported as having been either damaged or destroyed. The south of the country continues to feel the impact of the second wave of floods, with a spur of the Indus River now stretching through Jacobabad district in Sindh into Jaffarabad in Balochistan.

The Meteorological Department warns of a continuing risk of inundation of low-lying areas of Khairpur, Jacobabad, Ghotki, Sukkur, Larkana, Nawabshah, Hyderabad, Naushahro Feroze and Thatta districts of Sindh in the coming days. The Meteorological Department’s Flood Forecasting Division reports that flood levels in the Indus are holding at “extremely high” levels at Guddu and Sukkur in northern Sindh, and rising further downriver at Kotri, as the flood wave continues to move through the province.

Despite the continuing efforts of the Government and the humanitarian community to assist affected populations across the country, large numbers of people are yet to be reached with the assistance they need, particularly in Sindh and Punjab. While funding levels are now improving in key sectors, the continuing threat of flooding in many areas and the manner in which populations are spread across a vast area persist as major operational challenges.

Aid organizations have already expressed concern over incidents in which convoys attempting to hand out food have been attacked. A 16 August report by the UN Office for the Coordination of Humanitarian Affairs (OCHA) said looting of aid supplies has been alleged in Muzaffargarh in the southwestern part of Punjab Province, one of the worst-hit of the province’s 36 districts. A Muzaffargarh District administration official who asked not to be named said: “We have hordes of starving people. Things are desperate. There is insufficient aid and people who are weak and vulnerable, including women, are naturally worst affected.”

IFRC Secretary General Bekele Geleta said millions of Pakistanis have been affected by the most destructive disaster in the country’s history. “Survivors have experienced tragedy three times over,” said Geleta, who took part in a distribution of tents and other relief items by the Pakistan Red Crescent Society (PRCS) in Charsadda and Tenghi, north of Peshawar. “Many have lost loved ones, household goods and animals. The Red Cross Red Crescent Movement is now planning a fivefold increase in its response to Pakistan’s monsoon “superflood”, and is appealing to international donors to support a recovery programme likely to extend to 2012. In the medium term, at least 6 million people will need emergency humanitarian assistance, in the form of safe water, tents and shelter materials, and medical help.